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The prognostic value of mucociliary clearance in predicting success in tympanoplasty

Published online by Cambridge University Press:  29 June 2007

F. Giménez  and
J. Marco-Algarra
F. Giménez*
Affiliation:
Servicio de Otorrinolaringologia, Hospital Clinico Universitario, Universidad de Valencia, Valencia(Spain).
J. Marco-Algarra
Affiliation:
Servicio de Otorrinolaringologia, Hospital Clinico Universitario, Universidad de Valencia, Valencia(Spain).
*
Dr F. Giménez, Av. Aragón 38-B-33, 46021-Valencia, Spain.
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Abstract

Mucociliary and equipressive eustachian tube functions have been studied, using saccharin solution (five per cent sodium saccharinate) and tubal manometry respectively, in 58 ears with chronic disease undergoing tympanoplasty. The position of the perforation site determines the results as the poorest results are obtained from the posterior ones, positive cases (47 per cent) and mean transport time (37.7 minutes), compared to the greater percentage of positive cases (86 per cent) and mean transport time (22.2 minutes) for anterior perforations.

When both parameters are analysed together there is a direct relationship between normal equipressive function and normal mucociliary transport time and between negative transport time and tubal blocking. Significant differences in transport times have been found for the anterior and posterior perforations being shorter for the anterior ones.

When surgical outcome is correlated with mucociliary transport, the normal transport time percentage is seen to be considerably higher in the success group (50 per cent) than in the failure group (22 per cent).

Keywords

Otitis mediaEustachian tubeMucociliary clearance
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 10 , October 1993 , pp. 895 - 897
Copyright
Copyright © JLO (1984) Limited 1993

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